CAJ | 학술논문

目的比较经尿道前列腺等离子双极电切术(PKRP)、经尿道前列腺汽化术(TUVP)和耻骨上前列腺切除术(SPP) 3种手术方式对BPH患者性功能的影响.方法将符合此条件的121例前列腺切除患者进行随访,对手术前、后IPSS、性生活、勃起功能(IIEF-5)和射精情况(有无逆行射精、)予以评估.结果 (1)术后3个月3组IPSS评分均有显著下降;(2)3组术后的IIEF-5均有降低,其中SPP组有差异显著的统计学意义;(3) PKRP、TUVP、SPP 3组阴茎勃起功能障碍(ED)发生率分别为:8%、20%、30%:(4)TUVP组和SPP组术后逆行射精(RE)的发生率同术前比较有显著差异.结论 PKRP、TUVP、SPP术对患者性功能均有不同程度的影响,表现在阴茎勃起功能障碍 (ED) 和逆行射精 (RE),而PKRP对性功能的影响较轻.
목적 비교경뇨도전렬선등리자쌍겁전절술(PKRP)、경뇨도전렬선기화술(TUVP)화치골상전렬선절제술(SPP) 3충수술방식대BPH환자성공능적영향.방법 장부합차조건적121례전렬선절제환자진행수방,대수술전、후IPSS、성생활、발기공능(IIEF-5)화사정정황(유무역행사정、)여이평고.결과 (1)술후3개월3조IPSS평분균유현저하강;(2)3조술후적IIEF-5균유강저,기중SPP조유차이현저적통계학의의;(3) PKRP、TUVP、SPP 3조음경발기공능장애(ED)발생솔분별위:8%、20%、30%:(4)TUVP조화SPP조술후역행사정(RE)적발생솔동술전비교유현저차이.결론 PKRP、TUVP、SPP술대환자성공능균유불동정도적영향,표현재음경발기공능장애 (ED) 화역행사정 (RE),이PKRP대성공능적영향교경.
Objective To assess the effects of three types of prostatectomy such as transurethal plasma kinetic resection of prostate (PKRP),transuretheral vaporization of prostate (TUVP) and suprapubic prostatectomy(SPP) on sexual function of BPH patients.Methods Sexual function of 121 consecutive patients with BPH treated by three types of prostatecomy were followed-up and analyzed including IPSS,sexual life,erectile function (IIEF-5),ejaculatory function (retrograde ejaculation).Results (1) The score of IPSS in three groups all decreased significantly 3 months after operation;(2).Decrease of IIEF-5 of 3 groups were all found.But only SPP groups was found to be a significant difference in IIEF-5.(3) The incidence of erectile dysfunction in PKRP,TUVP and SPP group was 8%,20% and 30% respectively,there was a significant difference in the incidence of retrograde ejaculation before and after operation in TUVP and SPP group.Conclusion PKRP was superior to TUVP and SPP in erectile dysfuntion and retrograde ejaculation for BPH patients.